Organization
MICHAEL TUNG PHAM, DMD, PC
Active
Other names
Eastern Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TUNG PHAM DMD (DENTIST/PRESIDENT/OWNER)
(702) 262-5693
Entity
Organization
Contact information
Practice address
5905 S EASTERN AVE, SUITE 112, LAS VEGAS, NV 89119-3129
(702) 262-5693
Mailing address
5905 S EASTERN AVE, SUITE 112, LAS VEGAS, NV 89119-3129
(702) 262-5693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4769
NV
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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